Aluckal Eby, Pulayath Civy, Chithra P, Balakrishna M S, Luke Alexander M, Mathew Simy
Department of Public Health Dentistry, Mar Baselios Dental College, Kothamangalam, Kerala, India.
Department of Public Health Dentistry, Malabar Dental College and Research Centre, Malappuram, Kerala, India.
J Pharm Bioallied Sci. 2020 Aug;12(Suppl 1):S194-S198. doi: 10.4103/jpbs.JPBS_58_20. Epub 2020 Aug 28.
Tobacco usage is the leading preventable cause of death in the world today. The tribes in Kuttampuzha region are the aboriginal tribal community found predominantly in the south Indian state of Kerala, India, and this study was conducted to identify tobacco cessation behavior in smoking and smokeless form of tobacco users among them.
A cross-sectional design survey was conducted among 516 indigenous community people of Kuttampuzha area of Kerala, India, for the outcome of quit attempts made by the current tobacco users. The sociodemographic variables and tobacco user data collected were subjected to statistical analysis using Open Source R Software.
When considered the quit attempts among current smoking and smokeless form of tobacco users, a statistically significant difference was found in subjects who had quit attempts of 1 day or longer in the previous year ( = 0.01) than who were in groups of quit attempts more than 30 days or more than 6 months. Smokers had higher probability predicted of attempting quitting in comparison to smokeless form of tobacco users (odds ratio [OR] = 1.24, confidence interval [CI] = 1.09-1.39). The probability of doing a quit attempt was higher among users of tobacco who were having a comparatively higher socioeconomic status (OR = 1.30, CI = 1.12-1.48).
This study provides useful insights into different determinants for quit attempts of tobacco users in South India, exploring the sociodemographic features of attempts to quit. International prevention and cessation initiatives will need to be customized to the social-cultural context of these primitive tribal areas of Kuttampuzha, Kerala, to help in prevention and cessation of tobacco usage.
烟草使用是当今世界可预防的主要死亡原因。库坦普扎地区的部落是主要分布在印度南部喀拉拉邦的原住民部落群体，本研究旨在确定该部落中吸烟和使用无烟烟草者的戒烟行为。
对印度喀拉拉邦库坦普扎地区516名原住民社区居民进行横断面设计调查，以了解当前烟草使用者的戒烟尝试结果。使用开源R软件对收集到的社会人口统计学变量和烟草使用者数据进行统计分析。
在考虑当前吸烟和使用无烟烟草者的戒烟尝试时，发现前一年有1天或更长时间戒烟尝试的受试者（ = 0.01）与戒烟尝试超过30天或超过6个月的受试者相比，存在统计学显著差异。与无烟烟草使用者相比，吸烟者尝试戒烟的预测概率更高（优势比[OR]=1.24，置信区间[CI]=1.09 - 1.39）。社会经济地位相对较高的烟草使用者进行戒烟尝试的概率更高（OR = 1.30，CI = 1.12 - 1.48）。
本研究为印度南部烟草使用者戒烟尝试的不同决定因素提供了有用的见解，探索了戒烟尝试的社会人口统计学特征。国际预防和戒烟倡议需要根据喀拉拉邦库坦普扎这些原始部落地区的社会文化背景进行定制，以帮助预防和戒烟。
